MODULE 5 - Putting Microbes to Work in the Environment Flashcards
why do biofilms have to be on wet surfaces?
they have to have a moisture content so the bacteria can survive
what are some nutrients and environmental factors that form gradients?
water
pH
temp.
oxygen
pressure
radiation
how can a bacteria survive starvation through morphological changes?
endospores (metabolically dormant, resistant to heat)
nucleoid condensation (nucleoid associated proteins bend DNA so it can condense, stress the bacteria and they switch to starvation mode where gene transcription changed, so stress response pathways activated and growth slowed)
how can bacteria survive starvation with starvation proteins?
transpeptidases which cause peptidoglycan cross-linking and thickening of cell wall
chaperones which prevent denaturation and help renature damaged proteins
why are starved cells hard to kill?
the can survive for years
can become more virulent
how does formation of persister cells occur?
small subset of cells which are spontaneously dormant (non-growing) even with nutrients available
starvation triggers persister cells through nutrient depletion leading to stress adaptation
formation of persister cell occurs in exponential phase
why are persister cells important?
they can’t be treated with antibiotics
they don’t harbour antibiotic ressitance genes and instead express antibiotic tolerance phenotype
they are tolerant to the immune system and so are all together hard to eradicate
what is the difference between antibiotic resistance and antibiotic tolerance?
resistance based on genetic mutation on chromosome, while tolerance means the bacteria overcomes the antibiotic but isn’t resistant to it
what’s worse than having persister cells infecting you?
having persister cells in a biofilm infecting you
biofilm formation can also enhance persister cell formation by stressing bacteria
what are the stages of biofilm development?
reversible attachment
irreversible attachment (EPS starts to be secreted)
maturation
maturation and dispersion
where in the biofilm are you likely to find bacteria with a tolerant phenotype?
in the deeper levels where they are under more stress (O2 and nutrient limitations)
when bacteria don’t grow that well they might randomly start mutating chromosome, if antibiotic treatment happening they especially can develop R genes
can biofilms have multiple type of microorganism in them?
yes
they can be individual or polymicrobial (e.g. bacteria, fungi)
in what stage of biofilm formation are bacteria most vulnerable to eradication?
during reversible attachment
during irreversible attachment bacteria much more tolerant to antibiotics, immune system and starvation and generally cannot be eradicated by antibiotics alone
what is extracellular polymeric substances and what does it do?
major component of a biofilm (50-95% of dry weight)
chemical composition may vary between different strains/enviros but is primarily polysaccharide
protects from desiccation, antibiotics, toxins, immune cells
maintains integrity of biofilm and binds essential nutrients (making local rich environment)
what are the advantages of biofilms?
physical attachment (in moving enviros like river, GI tract, bloodstream)
this beneficial as allows it to stay in one place, substrate may provide nutrients, extracellular enzymes that solubilise don’t get diluted quickly, nutrients may be higher in biofilm than enviro
what is the medical significance of biofilms?
delay wound healing
increase risk of infection (chronic, polymicrobial)
protects from body’s immune response (inflam response may induce biofilm formation)
providing nutrients in form of exudate (from dead immune cells)
damages healing tissue
how common are biofilm bacteria involved in chronic (non-healing) wounds?
biofilm bacteria in 60-90% chronic wounds
these wounds are stuck in inflammatory phase of healing and cannot progress further
often not easily realised and bacteria feed on host response
how can host immune response worse biofilm formation in wound?
neutrophils and macrophages come to wound to release proteases (e.g. matrix metalloproteinases (MMPs)) as these degrade dead tissue and extracellular matrix proteins
problem is when too many pathogens in wound more and more neutrophils come and produce more metalloproteases which provides more nutrients for bacteria by degrading dead tissue
in normal physiological conditions MMP levels controlled
what are matrix metalloproteinases (MMPs)?
proteases which require metal as co-factor for catalytic activity to occur
factor in abnormal healing in chronic wounds due to over production and increased protease activity
unbalanced activity facilitates colonisation and proliferation in chronic wounds
bacteria also secrete them so in bad wound lots of tissue being degraded thus lots of nutrients for bacteria
how are biofilms a problem for our teeth?
dental plaque is a biofilm and formation damages tooth and causes receding gums and bad breath
causes periodontal disease, dental caries
biofilms on teeth a symptom
flossing/brushing regularly prevents this
what are some biofilm infections that form from objects?
catheter insertion causing UTIs, vascular disease (bloodstream)
catheter contaminated often through caregivers hand
piercings, tattoos and brandings
how can we prevent biofilm formation on wounds?
regularly clean and debride wound tissue, remove biofilm material, necrotic tissue, foreign material in order to prevent biofilm maturation
sometimes difficult as biofilms might be attached to healthy tissue
most effective in early stages
how can we manage biofilm once it has formed in a wound?
increase frequency of debridement
cannot completely remove biofilm
once removed prevent re-establishment, otherwise this can happen within 24h
how do we treat bacterial biofilms once they are formed in wounds?
biofilms become resistant to most antimicrobials within 48-96hrs
clinical management requires complete removal of infected area
if not possible, attacking on regular schedule may force biofilm detachment, make bacteria susceptible for treatment and host defences HOWEVER can cause systemic infection e.g. sepsis, bacteraemia which are more virulent infections